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Coronary stenting for aortocoronary dissection following balloon angioplasty
H B Seifein1, J C Missri, M F Warner
1Hoffman Heart Institute of Connecticut, St. Francis Hospital and Medical Center, Hartford 06105, USA.
Catheterization and Cardiovascular Diagnosis
|June 1, 1996
Insights
Coronary dissection after percutaneous transluminal coronary angioplasty (PTCA) can extend into the aortic root. Emergent stenting successfully sealed the dissection, restoring coronary flow and reducing aortic dissection.
Area of Science:
- Cardiology
- Interventional Cardiology
- Vascular Medicine
Background:
- Percutaneous transluminal coronary angioplasty (PTCA) is a common procedure for treating coronary artery disease.
- Coronary dissection is a rare but serious complication of PTCA.
- Dissection extending into the aortic root poses significant risks.
Abstract:
We report a case of coronary dissection following percutaneous transluminal coronary angioplasty (PTCA) in which the dissection extended antegrade as well as retrograde into the aortic root. Emergent stenting was able to seal the dissection entry point, resulting in restoration of normal coronary flow and diminution in the degree of aortic dissection.